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Amer Sheikh is the musculo-skeletal clinical lead for North West Surrey CCG and Surrey Heartlands STP. He also runs a musculo-skeletal and chronic pain course for Red Whale (of GP-Update fame). In this podcast he describes how, in North West Surrey, they were able to introduce a new model of musculo-skeletal care by putting more resources into the start of the patient journey and so reduce delays and the need for surgery.

Show Notes

Amer’s involvement in musculo-skeletal care (50secs)

The big challenge of musculo-skeletal care – the Right Care data gives Surrey pause for thought (1min 46secs)

Sharing the data with the local Acute Trust who challenge the data (2min 35secs)

Chances of surgery were high but outcomes were marginal (3mins 31secs)

Resistance to change (4mins 24secs)

Going to procurement delivers confrontation (4mins 52secs)

Acknowledging there was a better clinical model (5mins 23secs)

The service is threatened, or is it? (6mins 29secs)

Protecting the trauma service (7mins 02secs)

Developing a new model collaboratively (7mins 18secs)

The new model – a common point of entry and paper triage by an inter-disciplinary team (8mins 26secs)

Reducing the length of the process (9mins 12secs)

Forestalling chronic pain (10mins 03secs)

An unacceptable year-long process causes physical and psychological changes (11mins 02secs)

More resource up front pays dividends down the line (11mins 41secs)

Straining the Trust’s finances (13mins 05secs)

Can this change be achieved through an integrated care model? (14mins 19secs)

Further developing the model (15mins 20secs)

Advice for other areas thinking of changing their model (16mins 32secs)

Finding out more and contacting Amer (17mins 25secs)

Musculo-skeletal and chronic pain training course for GPs (17mins 48secs)

E-mail Amer: Amer.sheikh@nhs.net

The NHS England report on this work is available here

Details of the MSK course with Red Whale are available here